Care Management Supervisor

Overview

Copley Hospital, located in Morrisville/Stowe VT, seeks a Care Management Supervisor. The supervisor is a core member of the hospital care team and leads discharge planning while maintaining full partnerships with caregivers, internal and external providers, patients, families, and community partners. The role contributes to transforming the health care system to meet demands for safety, quality, patient‑centered, and affordable care.

This position is full‑time, with part‑time and per diem options available. Compensation ranges from $38–$43 per hour, subject to adjustment based on experience, education, skills, internal equity, and market data.

• Lead the discharge planning process, connecting patients and families with appropriate institutional or community resources beginning at admission or prior to hospitalization or surgery.
• Use Key Elements for Evidence‑Based Discharge Planning, including: involving patients and families as full partners; discussing the five key areas to prevent problems at home; describing life at home after discharge; reviewing medications; highlighting warning signs and problems; explaining the plan of care and test results; arranging follow‑up appointments.
• Educate patient and family in plain language about the patient’s condition, the discharge process, and next steps in the patient’s care plan.
• Assess how well doctors and nurses explain diagnosis, condition, and next steps using teach‑back strategies.
• Listen to and honor patients’ and families’ goals, preferences, observations, and concerns.

• Case Management:
  Serve as a clinical resource, contributing knowledge and expertise to achieve agreed‑upon goals of care.
• Collaborate with insurance companies, social work, and other hospital departments to negotiate and provide for patient care needs when coverage limitations exist.
• Assess patients to determine appropriateness of admission, observation status, continued hospitalization, and placement in appropriate level of care; maintain knowledge of Medicare‑Medicaid guidelines and coding specifics; communicate with physicians to ensure compliance with guidelines.
• Communicate with third‑party payers and insurance companies, providing clinical information including patient status, plan of care, and discharge disposition as requested.
• Utilize MCG, intensity of service, and severity of illness criteria to determine eligibility for acute care and observation services.
• Utilization Review:
  Perform concurrent and retrospective monitoring and analysis; identify and recommend opportunities for improvement; collaborate with nursing/MD and quality improvement departments.

Education:

• Associate Degree in Nursing

Experience:

• Minimum of three (3) years of relevant clinical experience, including demonstrated use of discharge planning, utilization, and quality management skills; chart review and data analysis proficiency.

License and Certification:

• RN License in Vermont in good standing.

Skill Requirements:

• Strong clinical, leadership, and computer skills.
• Ability to establish and maintain strong working relationships.
• Self‑directed, assertive problem‑solving.
• Effective assessment and planning skills.
• Excellent written and oral communication skills.
• Champions and builds interdisciplinary teams.